J Olivieri Professional Health Network LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

J OLIVIERI PROFESSIONAL HEALTH NETWORK LLC

Practice address

3224 I 30 Ste 118
Mesquite, TX 75150-2693

Phone

(972) 697-8580

Fax

(214) 602-7505

NPI assigned

Jul 11, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Julio Cesar Olivieri Jr., M.D.NPI 1881605780

Title

President

Phone

(214) 381-1910

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Tax ID family

J Olivieri Professional Health Network LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• J Olivieri Professional Health Network LLC

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1881032720
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julio Cesar Olivieri Jr., M.D.

  • Internal Medicine Physician
  • Mesquite, TX
  • NPI 1881605780
  Medicare reassignment NPD Authorized official
• Kashaelyn Lanieca Hollins-Henderson, FNP-C

  • Family Nurse Practitioner
  • Fort Worth, TX
  • NPI 1912493230
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1310342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751500800000",
    "number": "1821386905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4512 RALPH LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752271845",
            "telephone_number": "214-381-1910",
            "fax_number": "214-381-2868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3224 I 30 STE 118",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751502693",
            "telephone_number": "972-697-8580",
            "fax_number": "214-602-7505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4512 Ralph Ln",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752271845",
            "country_code": "US",
            "telephone_number": "214-381-1910",
            "fax_number": "214-381-2868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "J OLIVIERI PROFESSIONAL HEALTH NETWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-11",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A",
        "authorized_official_last_name": "OLIVIERI",
        "authorized_official_first_name": "JULIO",
        "authorized_official_middle_name": "CESAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-381-1910",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Troy P Issac, TECH
• Ikechukwu Stanislaus Iwunnah
• Ahmad N Izzat, RHP
• J & M Communications Inc
• J Kirkland Grant, M.D. PA
• J-Lydash Inc Dba Mesquite Adult Day Activities Health Center
• J-Shalom Home Health Services Inc
• Jack Jones Hearing Centers, Inc
• Candes Renee Jackson, CNA, CMA
• Inga Burnette Jackson

• Internal Medicine Physician in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.